Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Matthew Pettey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700638954

Brian Matthew Pettey is a Student in an Organized Health Care Education/Training Program in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Park Ridge, IL

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 125084522 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700638954
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2024
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024

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